The haematopoietic cell transplantation comorbidity index score is predictive of early death and survival in patients over 60 years of age receiving induction therapy for acute myeloid leukaemia

被引:201
作者
Giles, Francis J. [1 ]
Borthakur, Gautam [1 ]
Ravandi, Farhad [1 ]
Faderl, Stefan [1 ]
Verstovsek, Srdan [1 ]
Thomas, Deborah [1 ]
Wierda, William [1 ]
Ferrajoli, Alessandra [1 ]
Kornblau, Steven [1 ]
Pierce, Sherry [1 ]
Albitar, Maher [1 ]
Cortes, Jorge [1 ]
Kantarjian, Hagop [1 ]
机构
[1] Univ Texas, MD Anderson Canc Ctr, Dept Leukemia, Houston, TX 77030 USA
关键词
acute myeloid leukaemia; induction chemotherapy; comorbidity; prognosis;
D O I
10.1111/j.1365-2141.2006.06476.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The haematopoietic cell transplantation comorbidity index (HCTCI) predicts nonrelapse mortality and overall survival (OS) post-stem cell transplantation. HCTCI scores were assessed in 177 patients over 60 years of age receiving acute myeloid leukaemia (AML) induction therapy. HCTCI score was 0 in 22% of patients, 1-2 in 30%, and >= 3 in 48%. In patients with scores of 0, 1-2, or >= 3, early death rates were 3%, 11% and 29% (P < 0.001) respectively; median OS was 45, 31 and 19 weeks (P = 0.04) respectively. The HCTCI score is predictive of early death rates and OS in older patients receiving AML induction therapy.
引用
收藏
页码:624 / 627
页数:4
相关论文
共 12 条
[1]   Age and acute myeloid leukemia [J].
Appelbaum, FR ;
Gundacker, H ;
Head, DR ;
Slovak, ML ;
Willman, CL ;
Godwin, JE ;
Anderson, JE ;
Petersdorf, SH .
BLOOD, 2006, 107 (09) :3481-3485
[2]   Treatment of older patients with acute myeloid leukemia - New agents [J].
Burnett, AK ;
Mohite, U .
SEMINARS IN HEMATOLOGY, 2006, 43 (02) :96-106
[3]   VALIDATION OF A COMBINED COMORBIDITY INDEX [J].
CHARLSON, M ;
SZATROWSKI, TP ;
PETERSON, J ;
GOLD, J .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1994, 47 (11) :1245-1251
[4]   Cytogenetics and age are major determinants of outcome in intensively treated acute myeloid leukemia patients older than 60 years:: Results from AMLSG trial AML HD98-B [J].
Froehling, Stefan ;
Schlenk, Richard F. ;
Kayser, Sabine ;
Morhardt, Martina ;
Benner, Axel ;
Doehner, Konstanze ;
Doehner, Hartmut .
BLOOD, 2006, 108 (10) :3280-3288
[5]   Cloretazine (VNP40101M), a novel sulfonylhydrazine alkylating agent, in patients age 60 years or older with previously untreated acute myeloid leukemia [J].
Giles, Francis ;
Rizzieri, David ;
Karp, Judith ;
Vey, Norbert ;
Ravandi, Farhad ;
Faderl, Stefan ;
Khan, Khuda Dad ;
Verhoef, Gregor ;
Wijermans, Pierre ;
Advani, Anjali ;
Roboz, Gail ;
Kantarjian, Hagop ;
Bilgrami, Syed Fazl Ali ;
Ferrant, Augustin ;
Daenen, Simon M. G. J. ;
Karsten, Verena ;
Cahill, Ann ;
Albitar, Maher ;
Mufti, Ghulam ;
O'Brien, Susan .
JOURNAL OF CLINICAL ONCOLOGY, 2007, 25 (01) :25-31
[6]   Disease biology rather than age is the most important determinant of survival of patients ≥60 years with acute myeloid leukemia treated with uniform intensive therapy [J].
Gupta, V ;
Chun, K ;
Yi, QL ;
Minden, M ;
Schuh, A ;
Wells, R ;
Brandwein, J .
CANCER, 2005, 103 (10) :2082-2090
[7]   Attitude towards remission induction for elderly patients with acute myeloid leukemia influences survival [J].
Juliusson, G ;
Billström, R ;
Gruber, A ;
Hellström-Linderg, E ;
Höglund, M ;
Karlsson, K ;
Stockelberg, D ;
Wahlin, A ;
Åström, M ;
Arnesson, C ;
Brunell-Abrahamsson, U ;
Carstensen, J ;
Fredriksson, E ;
Holmberg, E ;
Nordenskjöld, K ;
Wiklund, F .
LEUKEMIA, 2006, 20 (01) :42-47
[8]   Results of intensive chemotherapy in 998 patients age 65 years or older with acute myeloid leukemia or high-risk myelodysplastic syndrome - Predictive prognostic models for outcome [J].
Kantarjian, H ;
O'Brien, S ;
Cortes, J ;
Giles, F ;
Faderl, S ;
Jabbour, E ;
Garcia-Manero, G ;
Wierda, W ;
Pierce, S ;
Shan, JQ ;
Estey, E .
CANCER, 2006, 106 (05) :1090-1098
[9]   Trends in the treatment of acute myeloid leukaemia in the elderly [J].
Lang, K ;
Earle, CC ;
Foster, T ;
Dixon, D ;
Van Gool, R ;
Menzin, J .
DRUGS & AGING, 2005, 22 (11) :943-955
[10]   The outcomes and costs of acute myeloid leukemia among the elderly [J].
Menzin, J ;
Lang, K ;
Earle, CC ;
Kerney, D ;
Mallick, R .
ARCHIVES OF INTERNAL MEDICINE, 2002, 162 (14) :1597-1603